| Redirection of the hepatic venous flow for the treatment of pulmonary arteriovenous malformations after Fontan operation. | |
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MedLine Citation:
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PMID: 16830083 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 45-month-old boy who had complex cardiac anomalies with interrupted inferior vena cava and polysplenia underwent extracardiac Fontan operation. He redeveloped deep cyanosis postoperatively. Cardiac catheterization showed a preferential flow of the hepatic venous blood to the right lung and arteriovenous malformations (PAVMs) in the left lung. He underwent revision of the conduit to attain balanced hepatic venous drainage with subsequent regression of the PAVMs and disappearance of cyanosis. Our experience shows that deficiency of hepatic venous flow played a crucial role in the development of PAVMs and that redistribution of the flow retained potential to ameliorate the pathological condition. |
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Authors:
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Yutaka Imoto; Akira Sese; Kunitaka Joh |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2006-07-06 |
Journal Detail:
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Title: Pediatric cardiology Volume: 27 ISSN: 0172-0643 ISO Abbreviation: Pediatr Cardiol Publication Date: 2006 Jul-Aug |
Date Detail:
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Created Date: 2006-08-11 Completed Date: 2007-02-13 Revised Date: 2008-02-20 |
Medline Journal Info:
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Nlm Unique ID: 8003849 Medline TA: Pediatr Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: 490-2 Citation Subset: IM |
Affiliation:
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Cardiovascular Surgery, Kyushu Koseinenkin Hospital, Yahatanishi-ku, Kitakyushu, Japan. yutaka.imoto@qkn-hosp.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Arteriovenous Malformations
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etiology,
pathology,
physiopathology* Child, Preschool Fontan Procedure* Heart Defects, Congenital / surgery Hepatic Veins / abnormalities*, physiopathology Humans Liver Circulation* Male Postoperative Complications / etiology, physiopathology Pulmonary Artery / abnormalities*, physiopathology Pulmonary Circulation Pulmonary Veins / abnormalities*, physiopathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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